Renegade Chiropractic

NPI #1528631819 in Orem, Utah

Provider Information

NPI Number: 1528631819
Entity Type: Organization
Organization Name: Renegade Chiropractic
Primary Specialty: Chiropractor
Enumeration Date: Jul 23, 2021
Last Updated: Aug 20, 2021

Practice Location

Address: 1028 WEST 950 N
Address 2: SUITE 103
City: Orem
State: Utah
ZIP Code: 85047
Phone: (801) 769-6570

Authorized Official

Name: TAYLOR DIETZ, DC
Title: OWNER
Phone: (801) 769-6570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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